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What is the treatment for anger issues and poor sleep after 15 years of stress and anxiety?
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Mental & Emotional Health
Question #30514
4 hours ago
17

What is the treatment for anger issues and poor sleep after 15 years of stress and anxiety? - #30514

Client_250911

Starting long time,More than 15 years ago my behavior is more of anger, insulting people, talking with higher voice, i get angry immediately and i regret also immediately. And this brings a lot of problems to my life and my business, i have a poor sleep, a pain on two sides of my back neck please help me if there is any medical treatment for this..... I think it may be stress or anxiety

How often do you experience these anger outbursts?:

- Daily

How long do these episodes of anger typically last?:

- All day

What do you think triggers your anger?:

- No clear trigger

How would you describe your sleep patterns?:

- Difficulty falling asleep

Have you noticed any physical symptoms accompanying your anger?:

- Increased heart rate

How has your anger affected your relationships or work?:

- Significantly damaged relationships

Have you sought any treatment for your anger or anxiety before?:

- Self-help strategies
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
3 hours ago
5

Hello

Anger that occurs daily, lasts much of the day, affects your relationships and business, and is accompanied by poor sleep and physical symptoms such as a racing heart deserves a proper medical and mental health evaluation. Stress and anxiety can certainly contribute to these symptoms, but other conditions such as depression, anxiety disorders, trauma-related conditions, mood disorders, sleep disorders, thyroid problems, or certain medical conditions can sometimes present with irritability and anger as well.

Treatment depends on the underlying cause. Common approaches include psychological therapies, especially cognitive behavioral therapy (CBT), stress-management techniques, and, when appropriate, medication to treat anxiety, depression, or other identified conditions. Improving sleep is also important because chronic sleep problems can worsen irritability, emotional control, and anxiety.

The pain in the back of your neck may be related to muscle tension from long-term stress, but it should also be assessed by a healthcare professional, particularly if it is persistent or worsening.

Because these symptoms have been present for more than 15 years and are causing significant impairment, I would strongly recommend scheduling an appointment with a psychiatrist or a qualified mental health professional. They can assess the full picture, identify any underlying conditions, and discuss treatment options tailored to your situation. Many people experience substantial improvement once the root causes are identified and treated. If you ever develop thoughts of harming yourself or others, seek urgent medical help immediately.

Take care

1848 answered questions
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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
1 hour ago
5

Hello, Thank you for sharing this. Since these symptoms have been present for more than 15 years and are significantly affecting your relationships, business, sleep, and quality of life, I would strongly recommend a professional mental health evaluation. The pattern you describe can sometimes be associated with chronic stress, anxiety disorders, mood-related conditions, or other emotional health concerns. An assessment by a psychiatrist or psychologist can help identify the underlying cause and guide appropriate treatment.

The good news is that effective treatments are available. Depending on the evaluation, treatment may include: • Cognitive Behavioral Therapy (CBT) or anger management therapy. • Stress-management techniques and relaxation training. • Treatment for anxiety, depression, or other underlying conditions if present. • Sleep-focused treatment if insomnia is contributing to irritability.

For the neck pain, chronic muscle tension from stress can be a contributing factor, although other causes should also be considered if the pain is persistent.

In the meantime: • Maintain a regular sleep schedule. • Reduce caffeine, nicotine, and energy drinks, especially in the evening. • Engage in regular physical activity. • Practice relaxation exercises such as deep breathing or mindfulness techniques.

Final Prescription/Advice: • Schedule an appointment with a psychiatrist or clinical psychologist for a comprehensive assessment. • Tab Melatonin 3 mg orally at bedtime for 2 weeks to help with sleep. • Practice daily stress-reduction techniques and regular exercise. • Reduce caffeine and smoking, especially later in the day. • Seek urgent medical attention if you develop thoughts of self-harm, harming others, severe depression, or worsening emotional distress.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
1 hour ago
5

Hello dear See you are a young and definitely due to hormonal alterations anger issues come frequently. It is not abnormalities but there is a previous saying that excess of anything is bad for health. Iam suggesting some methods for improvement Please follow them for atleast two months Do physical exercise atleast half an hour daily for 5 months Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day Get blood pressure evaluation done Hopefully improvement will occur In case of no improvement in 2 month consult psychiatrist in person for better clarity Regards

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